Psychiatry Case Record

• Main Author: Jeyanthi, P
• Format: Thesis
• Language: English
• Published: 2012
• Subjects: Psychiatry; antartic*
• Online Access: http://repository-tnmgrmu.ac.in/11851/; http://repository-tnmgrmu.ac.in/11851/1/341100512jeyanthi.pdf

Neurocysticercosis presenting with Psychosis: Cysticercosis is the most common parasitic disease of human central nervous system. The word cysticercosis derived from Greek KYSITS (cyst) and KERKOS (tail). Cysticercosis is endemic in some parts of all continents except Australia and Antartica. Cysticercosis consists of infection with the small bladder-like larvae of the pork tapeworm Taeniasolium. The life cycle of parasite is maintained between man and pig infected with cysticerci. Epilepsy is the most common presentation of neurocysticercosis; focal signs, headache, involuntary movements and global mental deterioration are other symptoms. Psychosis is a rare presentation and may be seen in up to 5% of patients. Obsessive Compulsive Disorder with Comorbid Recurrent Depression Current Episode Severe: DURATION: 5 years, Symptoms started gradually and increased in nature. COURSE: Continuous, Waxing and Waning present, patient never touched normalcy in between, no major precipitating factors. History of repeated thoughts of contamination with dirt present for which he washed hands repeatedly. History of repeated thoughts of something harm might happen to him or his parents. History of excessive brushing the teeth, showering, bathing by repeatedly applying the soap and for which he takes about two hours. Staying in toilet for more than one hour until somebody calls him. History of drinking water repeatedly 10-15 times per day. History of checking and counting things repeatedly and arranges it in a particular order again and again. Chants prayer several times mentally. If he goes to temple goes round it exactly eleven times and prays three times. Before going to bed he stand and count for hundred. History of feeling he has to do all these otherwise something harm might happen to his family. He feels these thoughts of his own, tries to resist but couldn’t. It causes great distress in him. Feels relieved by these acts. History of doing things very slowly present. It interferes with his social and motor functioning. ...